We have located links that may give you full text access.
Case Reports
Journal Article
Mechanical airway obstruction from the laryngeal mask airway cuff.
Nigerian Journal of Medicine : Journal of the National Association of Resident Doctors of Nigeria 2006 January
BACKGROUND: The laryngeal mask airway (LMA) classic has been found useful in airway management of both routine and emergency unexpected failed intubations. We report a case of mechanical airway obstruction from anterior in folding of the laryngeal mask airway classical cuff.
METHOD: The anaesthetic record of a 55-year-old 70 kg female patient fora left sided total hip replacement that had a failed spinal and was augmented with the laryngeal mask airway.
RESULT: Near complete airway obstruction developed after the size 4 laryngeal mask airway classic was inserted and the cuff inflated with 30 ml of air. The reduced reservoir volume and the desaturation that ensued as detected by the portable handheld pulse oximeter alerted the anesthesiologist and called for a check which was not corrected by any head and neck manoeuvre. On withdrawal of the laryngeal mask airway, the cuff was noted to have folded unto the fresh gas aperture thereby obstructing ventilation and oxygenation of the patient.
CONCLUSION: Monitoring the monitors and quick reassessment of laryngeal cuff placement guaranties the evasion of anaesethetic catastrophes.
METHOD: The anaesthetic record of a 55-year-old 70 kg female patient fora left sided total hip replacement that had a failed spinal and was augmented with the laryngeal mask airway.
RESULT: Near complete airway obstruction developed after the size 4 laryngeal mask airway classic was inserted and the cuff inflated with 30 ml of air. The reduced reservoir volume and the desaturation that ensued as detected by the portable handheld pulse oximeter alerted the anesthesiologist and called for a check which was not corrected by any head and neck manoeuvre. On withdrawal of the laryngeal mask airway, the cuff was noted to have folded unto the fresh gas aperture thereby obstructing ventilation and oxygenation of the patient.
CONCLUSION: Monitoring the monitors and quick reassessment of laryngeal cuff placement guaranties the evasion of anaesethetic catastrophes.
Full text links
Related Resources
Trending Papers
Executive Summary: State-of-the-Art Review: Unintended Consequences: Risk of Opportunistic Infections Associated with Long-term Glucocorticoid Therapies in Adults.Clinical Infectious Diseases 2024 April 11
Autoimmune Hemolytic Anemias: Classifications, Pathophysiology, Diagnoses and Management.International Journal of Molecular Sciences 2024 April 13
Clinical practice guidelines on the management of status epilepticus in adults: A systematic review.Epilepsia 2024 April 13
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app